Active NPI 1265882070 Individual Practitioner Male Practitioner

Jonathan D Nelson , PA-C

Physician Assistant • Salem, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Nelson, PA-C is a certified Physician Assistant practicing in Salem, UT. With approximately 10 years of clinical experience since completing medical education in 2016, Jonathan Nelson delivers high-quality medical care to the local community at 555 W SR 164.

Jonathan Nelson is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, evaluation of use of breathing device. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

555 W Sr 164

Salem, UT 84653

Telephone 8014654813

Fax 8018125433

Associated Practice Facility / Clinic

🏢 Revere Health Pc Facility NPI 1942233986

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Salem, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.1 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

11 Specialists

Practicing in Salem, UT (1904 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (10 Years) 10 Yrs

Salem Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$215.29	$103.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$281.73	$134.91
94664 Evaluation of use of breathing device	13	13	$40.77	$13.97
36415 Insertion of needle into vein for collection of blood sample	11	11	$15.82	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$212.00	$101.21
94664 Evaluation of use of breathing device	22	22	$37.95	$13.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$276.58	$134.83
36415 Insertion of needle into vein for collection of blood sample	15	15	$14.67	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	236	$208.83	$103.65
94664 Evaluation of use of breathing device	57	52	$37.05	$13.15
99213 Established patient office or other outpatient visit, typically 15 minutes	50	46	$147.74	$72.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	21	$124.45	$58.49
36415 Insertion of needle into vein for collection of blood sample	36	34	$10.00	$2.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$286.74	$136.83
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	23	$14.00	$7.68
94618 Test for exercise-induced lung stress	20	19	$75.30	$27.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	708	326	$207.25	$104.75
94664 Evaluation of use of breathing device	93	86	$38.00	$13.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	40	$126.88	$59.13
99213 Established patient office or other outpatient visit, typically 15 minutes	62	54	$145.45	$74.69
94618 Test for exercise-induced lung stress	59	56	$77.00	$27.49
36415 Insertion of needle into vein for collection of blood sample	43	37	$10.00	$3.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	16	$69.13	$31.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$281.00	$134.83
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	23	$14.00	$7.77
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	15	15	$59.00	$25.29
G0008 Administration of influenza virus vaccine	13	13	$19.00	$14.11
90662 Influenza vaccine split virus, preservative free	12	12	$82.67	$64.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$289.55	$149.07
80048 Blood test, basic group of blood chemicals (calcium, total)	11	11	$18.00	$8.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	565	302	$195.51	$89.67
99213 Established patient office or other outpatient visit, typically 15 minutes	111	96	$134.14	$60.30
94664 Evaluation of use of breathing device	88	80	$37.90	$13.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	22	$192.56	$86.93
94618 Test for exercise-induced lung stress	54	52	$76.94	$28.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	19	$73.00	$33.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$296.92	$133.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	16	$135.00	$61.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$265.00	$120.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	558	286	$181.87	$89.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	181	77	$180.00	$87.28
94664 Evaluation of use of breathing device	148	118	$37.00	$13.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	68	$245.46	$120.39
99213 Established patient office or other outpatient visit, typically 15 minutes	58	52	$122.97	$61.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$279.76	$134.33
94618 Test for exercise-induced lung stress	39	37	$75.95	$28.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$352.17	$171.81
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	12	$130.67	$47.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	197	$180.00	$87.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	205	83	$180.00	$87.75
94664 Evaluation of use of breathing device	97	83	$37.00	$13.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	94	65	$242.00	$117.08
94618 Test for exercise-induced lung stress	33	31	$75.00	$28.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$276.00	$133.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$348.00	$172.04
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	11	11	$52.00	$23.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$173.19	$88.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$230.00	$119.13
94664 Evaluation of use of breathing device	18	18	$36.00	$13.68

Medical Specialties & State Licenses

CMS Verified: 2020-03-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 10406360-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WI 3752-23

Hospital & Practice Group Affiliations

Revere Health Pc

555 W Sr, Salem, UT 84653

Phone: 8014654813

Secondary Practice Locations

1055 N 500 W Ste 212

Provo, UT 846043305

Phone: 8014654813

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Garry Miller , DO

Internal Medicine

NPI 1053568592

Doctor of Osteopathic Medicine (D.O.)

Dr. Tala'at Al-Shuqairat , MD

Internal Medicine - Pulmonary Disease

NPI 1104875574

Doctor of Medicine (M.D.)

Dr. Troy Lunceford , MD

Internal Medicine

NPI 1194842286

Doctor of Medicine (M.D.)

Shawn Hill , MPAS

Physician Assistant

NPI 1205224276

Dr. David Bennion , MD

Internal Medicine

NPI 1255435244

Doctor of Medicine (M.D.)

Dr. Brian Clements , DO

Internal Medicine

NPI 1265540009

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant (License #3752-23 in WI)

✅

NPI Profile Active February 01, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 01, 2018

Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

📍

Updated Practice Location February 01, 2018

Registered at 555 W SR 164, SALEM, UT 84653 (Tel: 8014654813)

👤

Provider Name / Credentials Updated February 01, 2018

Recorded as JONATHAN NELSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2018

Physician Assistant (License #10406360-1206 in UT)

📍

Updated Practice Location October 13, 2017

Registered at 555 W SR 164, SALEM, UT 84653 (Tel: 8014654813)

📍

Updated Business Mailing Address October 13, 2017

Registered at PO BOX 30079, SALT LAKE CITY, UT 841300079 (Tel: 8013758858)

✅

NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2016

Registered at 1506 S ONEIDA ST, APPLETON, WI 549151305 (Tel: 9207307600)

📍

Updated Business Mailing Address June 13, 2016

Registered at 1506 S ONEIDA ST, APPLETON, WI 549151305 (Tel: 9207307600)

👤

Provider Name / Credentials Updated June 13, 2016

Recorded as JONATHAN NELSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Physician Assistant (License #3752-23 in WI)

🟢

Initial NPI Registration & Enumeration June 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265882070

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 13, 2016

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Attn: Credentialing

Provo, UT 846043305

Phone: 8013548225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.